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6 The symptoms of these issues often include: 4 Trouble falling asleep Difficulty staying asleep Shorter duration of sleep Later sleep onset Smoking to Manage Stress A recent study indicated that waking during the night, smoking, and going back to bed was a means to manage stress and self-soothe

While many studies adjust for smoking status, this is often insufficient: adjusting for more detailed smoking history (e.g., using pack-years) is essential to account for the degree of smoking exposure [14, 15], yet most studies merely adjust for smoking status (current vs